Shoulder Pain in the shoulder?

All-rounder/Jack of all trades, but susceptible: on the one hand, the shoulder is the most flexible joint in the human body. On the other hand, it offers a large scope for injuries and illnesses.

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Moving without complaints in work, everyday life and leisure

The shoulder joint is the most flexible ball and socket joint in our body. Together with the elbow, it connects the hand to the body. Since this joint is stabilized by muscles, tendons and ligaments, no bony structure hinders movement. The ball and socket joint allows an enormous range of mobility/movement. The main shoulder joint consists of the humerus head and the shoulder socket. Cartilage between the two bones prevents them from rubbing against each other.

Causes of shoulder pain

There are many causes of shoulder pain. This includes:

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  • Impingement of the shoulder
  • frozen shoulder
  • calcifying tendinitis of the shoulder
  • rotator cuff tear 
  • Osteoarthritis of the shoulder joint

Shoulder pain can very often be treated with non-surgical measures such as physiotherapy, injections or acupuncture. In our practice we treat shoulder pain conservatively and use particularly gentle therapy methods such as treatment with the body's own proteins. In close cooperation with physiotherapists, we achieve very good long-term results.

Impingement or "bottleneck syndrome" is a narrowing in the area of the shoulder joint. Bone-related bottleneck is most often responsible for impingement syndrome. The narrowing can cause painful irritation and inflammation of muscles, tendons or bursa. Shoulder impingement should first be treated conservatively. The inflammatory changes in the affected tendons or bursa in particular lead to pain and restricted movement. A combination of injections e.g. with the body's own proteins, acupuncture and in some cases additional pain medication leads to pain relief and restoration of mobility. Physiotherapy should usually be performed after treatment. Only when all conservative measures are unsuccessful should patients consider surgical treatment options.

The exact cause of the shoulder stiffness is not known. The shoulder stiffness proceeds individually and can persist over very long periods of time. After a very painful phase, there is a restriction of movement and finally stiffness in the shoulder joint. Inflammation and, consequently, shrinkage of the joint capsule are particularly responsible for this. The shoulder stiffness is treated conservatively at first. If no improvement can be achieved with conservative treatment methods for the joint, surgery is advisable.

The cause of the calcareous shoulder is not clear. It occurs more often in women and can very suddenly lead to severe pain. The progress of this condition can vary widely. Sometimes there is a spontaneous depletion of the calcium deposit and the full pain-free mobility of the shoulder is restored. In some cases, however, it can take a chronic path. The treatment depends on the symptoms and also on the location and size of the calcifications, which can usually be seen in the X-ray image. Uncomplicated cases can be treated conservatively with physiotherapy or injections. In the event of a severe case, arthroscopic removal of the calcification is recommended.

The rotator cuff is a group of muscles whose tendons encircle the shoulder joint like a cap. The rotator cuff allows the shoulder joint to "rotate" in all directions. Various causes can result in injury to the rotator cuff. Slight defects in the tendons can cause greater damage to the tendons and, in the worst case, lead to rupture of all muscles of the rotator cuff. The diagnosis of an injury to the rotator cuff consists of a clinical examination, ultrasound examination and often a magnetic resonance imaging (MRI) examination. The extent of the injury can be determined in order to then draw up a therapy plan (conservative or surgical).

Osteoarthritis of the shoulder joint (also called omarthrosis) is less common than osteoarthritis of the knee or hip joint. Osteoarthritis in the shoulder is manifested by pain and a significant restriction in mobility in the joint. The causes of arthrosis in the shoulder joint are often damage to the rotator cuff or signs of wear due to long-term stress. Osteoarthritis of the shoulder can also result from accidents, e.g. after a fracture of the humerus. Depending on the physical aliments, accompanying symptoms and the degree of osteoarthritis, conservative or surgical treatment can be considered. In the case of advanced osteoarthritis of the shoulder joint, an endoprosthesis (artificial shoulder joint) will be necessary as the ultimate treatment option.

 

A treatment approach for shoulder afflictions is created very individually in our office. Only after an exact diagnosis, consisting of a clinical examination and further measures such as ultrasound, X-ray or magnetic resonance imaging (MRI), will a suitable therapy be planned for you. With our conservative treatment methods, our goal is to avoid surgery.

Please make an appointment with us. If a diagnosis has already been made and findings (X-rays, MRI results) are available, we ask you to bring them along to the first appointment.